BACCALAUREATE PROPOSAL APPLICATION Form No. BAAC-02

F. LORIDA DEPARTMENT OF.

EDUCATION

- - - - --

BACCALAUREATE PROPOSAL APPLICATION

Form No. BAAC-02

Section 1007.33(5)(d), Florida Statutes, and Rule 6A-14.095, F.A.C., outline the requirements for a Florida College System baccalaureate program proposal. The completed Proposal form shall by submitted by the college president to the Chancellor of the Florida College System at ChancellorFCS@. In addition, a printed version shall be mailed to the Division of Florida Colleges at 325 West Gaines Street, Suite 1544, Tallahassee, Florida 32399-0400.

The proposal requires completion of the following components: ? Program summary ? Program description ? Workforce demand and unmet need ? Planning process ? Enrollment projections and funding requirements ? Student costs: tuition and fees ? Program implementation timeline ? Facilities and equipment specific to program area ? Library and media specific to program area ? Academic content ? Program termination ? Appendix tables ? Supplemental materials

Florida College System Institution Name: Florida College System Institution President:

Lake-Sumter State College Dr. Stan Sidor

PROGRAM SUMMARY 1.1 Program Name: 1.2 Degree type:

1.3 How will the program be delivered (check all that apply):

1.4 List the counties in the college's

service district:

1.5 Degree CIP code (6 digit): 1.6 Anticipated program implementation

date: 1.7 What is the primary associate degree

pathway for admission to the program? 1.8 Is the degree a STEM focus area?

0 Bachelor of

0 Bachelor of

Science

Applied Science

D Face-to- 0

0 Online

face

Hybrid only

Lake County, Sumter County

51.3801

August 2018

Associate of Science in Nursing

0 Yes

0 No

Incorporated in Rule GA-14.095, Site Determined Baccalaureate Access Effective August, 2015

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1.9 List program concentration(s) (if

None at this time

applicable):

1.10 Will the program be designated such 0 Yes

that an eligible student will be able to

complete the program for a total cost

of no more than $10,000 in tuition and

fees?

D No

PROGRAM DESCRIPTION

2.1 Describe the program.

The proposed Bachelor of Science in Nursing (BSN) degree at Lake-Sumter State College (Lake-Sumter) is designed for licensed Florida registered nurses who have completed an Associate in Science Degree in Nursing (ADN) and who reside in the Lake-Sumter service district of Lake and Sumter counties. The curriculum complements the coursework and clinical experiences of the ADN, providing a seamless and efficient pathway to BSN degree. The BSN also provides opportunities for graduates who seek career advancement including Nurse Practitioners and Health Diagnostic Treatment Practitioners, Health Specialists, and Medical Public Health Social Workers.

WORKFORCEDEMANDANDUNMETNEED

3.1 Describe the career path and potential employment opportunities for graduates of the program.

The BSN degree is the most important credential required for many high-level health related careers. It will provide registered nurses the baccalaureate credential now required for many entry-level positions in the healthcare community.

Healthcare organizations in Lake and Sumter Counties have identified a growing need for bachelor's prepared nurses (BSN) or higher. Many healthcare organizations have set specific BSN hiring targets with ranges from 50-100% with a national goal

of achieving 80% BSN prepared nurses by 2020. Healthcare leaders have shared that \v' a more educated nursing workforce is essential due to the focus in health care on f'

value-based purchasing. Healthcare leaders believe that a BSN prepared nurse's knowledge of evidenced-based practice, research, management of care across the continuum, as well as healthcare finance and quality is essential for the future success of healthcare institutions. The ability of BSN prepared nurses to lead teams and projects in clinical practice and their commitment to professional engagement and active participation in interdisciplinary teams is vital.

In addition, the emergence of new roles requiring nursing expertise has resulted in experienced practicing nurses leaving the bedside. Some examples of these new roles include care coordinators or case managers, nurse informatics coordinators, patient safety/quality specialists, and coding specialists. All these nonclinical positions

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require a minimum of a BSN degree. There is an ongoing need for nurses in clinical operational management positions (assistant nurse manager, supervisor, director, administrator, and educator). These clinical management positions are essential for smooth operation of the facilities and require a minimum preparation ofa bachelor's degree and, in some institutions, a master's degree.

Currently 57% of working registered nurses hold an associate's degree in nursing. Lake-Sumter's BSN program will provide these nurses with the opportunities to continue their employment as well as having the credentials for pursuing other higher-level positions including leadership and management. The BSN provides graduates with pathway opportunities into master's and doctoral nursing programs at the state universities in Lake-Sumter's service district.

According to the Florida Department of Economic Opportunity (DEO) projections, growth in the Lake-Sumter service area includes 221 new positions annually that are outside of the nursing crosswalk yet are related to employment opportunities for graduates of a BSN program. The occupations below are included based on the lay titles for the occupations used.

Occupation

Community Health Workers

Health Diagnosing and Treating Practitioners, all other (Alternative I

Holistic Medicine)

Health Educators

Medical and Health Services Managers

Healthcare Social Worker

Lay Titles Chief Program Officer; Community Health Advisor; Community Health Navigator; Community Health Worker; Health Advocate; Health Navigator; Health Outreach Worker; HIV CTS Specialist; Public Health Outreach Worker; Public Health Worker

Chief Medical Officer; Clinic Supervisor; Colon Therapist; Corrective Therapist; Diagnostician; Holistic Health Practitioner; Immunologist; Naturopath; Reflexologist

Clinical Nurse Educator; Diabetes Educator; Early Breastfeeding Care Specialist; HIV Prevention Specialist; Lactation Consultant; Lactation Specialist; Lamaze International Breastfeeding Support Specialist; Nurse Educator; Public Health Educator/Latino Outreach Coordinator Nurse Administrator; Nurse Manager; Nurse Supervisor; Nurses Director; Nurses Superintendent; Nursing Administrator; Nursing Director; Nursing Home Manager; Nursing Service Administrator; Nursing Service Director; Nursing Services Manager; Occupational Health Nursing Director Clinical Social Worker; Dialysis Social Worker; Director of Social Work; Hospice Social Worker; Medical Social Worker; Nephrology Social Worker; Oncology Social Worker; Renal Social Worker; Social Work Case Manager; Social Worker

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Career/Technical

Education Teachers, Middle School

Health and Physical Education Teacher; Health Teacher; Family Consumer Science/Life Skills Educator; Health Teacher

Teachers

Secondary

School Teachers,

Except Special Childbirth and Infant Care Teacher; First Aid Teacher; Health and

& Career and Physical Education Teacher; Health Teacher

Technical

Education

Career and

Technical

Allied Health Instructor; Allied Health Teacher; Health Careers

Education

Instructor; Health Occupations Teacher; Health Science

Teachers,

Instructor; Health Science Technology Education Teacher (HSTE

Secondary

Teacher); Nursing Instructor

School

Nurse Anesthetists

Certified Registered Nurse Anesthetist (CRNA); Chief Nurse Anesthetist; Chief Nurse Executive; Doctor of Nurse Anesthesia Practice (DNAP); Nurse Anesthetist

Nurse Midwife; Nurse Midwife/Clinical Instructor; Registered

Nurse Midwives Nurse Midwife; Senior Instructor; Certified Nurse Midwife; Staff

Certified Nurse Midwife

Acute care Nurse Practitioner; Adult Nurse Practitioner;

Advanced Practice Registered Nurse (APRN); Certified Nurse

Nurse

Practitioner; Certified Pediatric Nurse Practitioner; Dermatology

Practitioners

Nurse Practitioner; Family Nurse Practitioner; Family Practice

Nurse Practitioner; Internal Medicine Nurse Practitioner;

Licensed Nurse Practitioner (LNP); Neonatal Nurse Practitioner

Source: Occupational Information Network (O*NET) under the sponsorship ofthe US

Department ofLabor/Employment and Training Administration (USDOL/ETA) through

a grant to the North Carolina Department ofCommerce.

. org/dictionarv/21. O/excel/alternate titles. html

3.2 Describe the workforce demand, supply and unmet need for graduates of the program that incorporates, at a minimum, the shaded information from appendix tables A.1.1 to A.1.3.

The workforce demand shown in A.1.1 is strong in Lake and Sumter counties in where there are projected to be 1,629 direct CIP to SOC nursing job openings between 2016 and 2024. Over the next eight years, the number of openings is projected to grow by 25.5% within Lake and Sumter counties. The average number of nursing openings in Lake and Sumter counties is calculated to be 204 per year. This program will respond to a large local workforce gap since there are currently no institutions in Lake or Sumter counties offering the BSN degree.

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In 2016, there were 3,697 RN jobs in the Lake-Sumter State College service area and currently, as stated earlier in this document, only 43% of those have earned the BSN degree. This means that there are 2,107 current Registered Nurses in this region with an Associate Degree who will need to pursue the BSN to remain competitive.

3.3 Describe any other evidence of workforce demand and unmet need for graduates as selected by the institution, which may include qualitative or quantitative data information, such as local economic development initiatives, emerging industries in the area or evidence of rapid growth, not reflected in the data presented in appendix tables A.1.1 to A.1.3. For proposed programs without a listed SOC linkage, provide a rationale for the identified SOC code(s).

In 2008, The Robert Wood Johnson Foundation (RWJF)1 and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. The committee developed four key messages:

? Nurses should practice to the full extent of their education and training. ? Nurses should achieve higher levels of education and training through an

improved education system that promotes seamless academic progression. ? Nurses should be full partners, with physicians and other health care

professionals, in redesigning health care in the United States. ? Effective workforce planning and policy making require better data

collection and information infrastructure.

Their Final Report2 included: ? Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. "Academic nurse leaders across all schools of nursing should work together to increase the proportion of nurses with a baccalaureate degree from 50 to 80 percent by 2020. These leaders should partner with education accrediting bodies, private and public funders, and employers to ensure funding, monitor progress, and increase the diversity of students to create a workforce prepared to meet the demands of diverse populations across the lifespan."

Statewide, the need for registered nurses will continue to grow. Florida Center for Nursing estimated that approximately 10,000 new RN positions would be created statewide in 2016. Florida is the 4th in the nation for highest employment of registered nurses. Among Florida industries that employ nurses, acute care hospitals are the largest with approximately 12,400 vacant RN positions in 2015. The LMI report indicates an expected increase of almost 6,000 openings for Registered Nurses

1 Robert Wood Johnson Foundation Launches Initiative to Support Academic Progression in Nursing:

.en/ library/articles-and-news/ 2012/ 03/ robert-wood-johnson-foundation-launches

initiative-to-su pport-ac.html

2 The Future of Nursing, Leading Change, Advancing Health, Report Recommendations: Recommendation

4, p.3,

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in Lake-Sumter's service area by 2023, indicating that the DEO projections are underestimating the demand. More than 3,000 jobs are posted in Florida monthly with only 21 % being filled, and 25% ofthe nursing workforce is at or near retirement age. Shortages of experienced RNs particularly in specialty areas requiring increased need for bachelor's prepared nurses. The 2010 Institute of Medicine report entitled The Future of Nursing: Leading Change, Advancing Health funded by the Robert Wood Johnson Foundation drew attention to education of nurses by recommending an increase in the proportion of nurses with a baccalaureate degree to 80%, and doubling the number of nurses with a doctorate by 2020.

There are many strong workforce data points supporting this proposed program. EMSI reported in July 2016, that Florida is the 4th in the nation of highest employment of registered nurses and that 25% of the nursing workforce is at or near retirement age.3. In addition as more and more nursing faculty members are nearing retirement there is a growing need for master's and doctorate prepared faculty to help colleges and universities produce an educated workforce that is qualified to take on roles in advanced practice, management, and clinical support. There is a shortage of the BSN and master's prepared nurses needed to fill critical positions including clinical nurse specialists, advanced nurse practitioners (ARNP), managers, and educator positions. Additionally, more than 3,000 jobs are posted in Florida monthly with only 21 % being filled4.

Shortages of experienced RNs, particularly in specialty areas, require an increase in bachelor's prepared nurses. In addition, the previously mentioned report, The Future ofNursing: Leading Change, Advancing Health, also recommended dou~ling the number of nurses with a doctorate by 2020 to ensure that nurses engage in lifelong learning.

RN to BSN programs provide an efficient bridge for ADN-prepared nurses who wish to expand and enhance previous knowledge and advance in their careers. This proposed program will be the only such option in the Lake-Sumter service area and most RNs who advance their formal education beyond their initial preparation choose to complete a baccalaureate nursing program5. RN to BSN programs build on initial nursing preparation with coursework to enhance professional development, prepare for a broader scope of practice, and provide a better understanding of the cultural, political, economic, and social issues that affect patients and influence care delivery.

3 States with the highest employment level in this occupation :

oes/ current/ oes291141.htm

4 Job Postings data from January 2015-May 2016, 2016.4 Class of Worker data, EMSI, a CareerBuilder

company.

5 Health Resources and Services Administration. (2007). The registered nurse population: Findings

from the March 2004 National Sample Survey of Registered Nurses. Washington, DC: U.S.

Department of Health and Human Services.

ftp ://ftp.hrsa. gov/ bh pr/ nursinq/rn oopulation/ thereqisterednursepopulation. pdf.

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4.1 Summarize the internal planning process.

The internal planning process started early in 2015 and included training for personnel who would develop the proposal and program curriculum as well as examination oflocal workforce needs as indicated below.

!Date

jPersonnel Involved

Description of

I

activity

Cindy Griffin, Interim Director, Nursing Baccalaureate

2/20/2015 Dr. Mary Jo Rager, Consultant

Webinarfor

APPRiSe Training

Cindy Griffin, Interim Director, Nursing BSN Nursing

3/4/2015

I

Dr. Mary Jo Rager, Consultant Dr. Eugene Jones, Associate Dean,

Workgroup Agenda Planning

Workforce Programs

Meeting

Cindy Griffin, Interim Director, Nursing

3/27/2015

Dr. Mary Jo Rager, Consultant Dr. Eugene Jones, Associate Dean,

BSN Discussion Meeting

Workforce Programs

Cindy Griffin, Interim Director, Nursing

4/15/2015

Dr. Mary Jo Rager, Consultant Dr. Eugene Jones, Associate Dean,

BSN Discussion Meeting

Workforce Programs

Cindy Griffin, Interim Director, Nursing

14/16/2015

Dr. Mary Jo Rager, Consultant Dr. Eugene Jones, Associate Dean, Workforce Programs Dave Weber, Executive Director, Office

BSN Proposal Task Force Meeting

of Planning and Effectiveness

Cindy Griffin, Interim Director, Nursing

Dr. Mary Jo Rager, Consultant

4/21/2015

Dr. Eugene Jones, Associate Dean, Workforce Programs

BSN Proposal Task Force

Dave Weber, Executive Director, Office Meeting

jof Planning and Effectiveness

I

~Cindy Griffin, Interim Director, Nursing

r. Mary Jo Rager, Consultant

4/24/2015

r. Eugene Jones, Associate Dean, orkforce Programs

BSN SWOT nalysis Meeting

Dave Weber, Executive Director, Office

of Planning and Effectiveness

~~~~~

-~~~~

_J

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These programs are growing in importance since many professional practice settings, including magnet hospitals and academic health centers, now require or prefer the baccalaureate degree for specific nursing roles.6 The three Region 12 state colleges working together with the major healthcare employers, healthcare leaders, and the University of Central Florida held a Regional Registered Nursing Summit on September 12, 2016. The summit, which included 50 participants 20 of which are healthcare leaders, addressed the regional workforce needs for registered nurses. Data presented at the summit and interviews with healthcare leaders prior to the summit acknowledged that there is a critical regional shortage of registered nurses in Lake and Sumter County. An external consultant contacted the five largest healthcare employers of registered nurses in Lake-Sumter's service area and conducted 25 different interviews with Chief Nursing Officers (CNOs), hospital CEOs, and administrators involved in student placement, staffing, recruiting, education, and workforce planning. The results reflected that new graduates account for greater than 60% of the workforce they have hired. Many of the new graduates express an interest in working in highly specialized areas such as critical care, emergency, NICU, and labor and delivery. Anne Peach, a retired Orlando Health CNO, said, "There is an inadequate supply of baccalaureate, master's, and doctoral prepared nurses," to meet the current and future workforce needs of the state of Florida and our region.

Within workforce Region 12 there are several institutions (public and private) that offer a BSN degree. These institutions attract students from the workforce region as well as students from other areas. However, there are limited opportunities in the region and no current opportunities in the Lake-Sumter State College service area for a student with an Associate in Science Degree in Nursing to pursue the more advanced baccalaureate credential.

3.4 If the education level for the occupation identified by the Florida Department of Economic Opportunity presented in appendix table A.1.1 is below a bachelor's degree, provide justification for the inclusion of that occupation in the analysis.

The case for including SOC 29-1141 Registered Nurse has been made in many of the previous sections ofthis document based on published industry reports and direct feedback received from local and regional partners.

6 ANAMarketplace/ ANAPeriodicals/ OJIN/ TableofContents/ vol132008/ No3Sept08/ CareerEntryPoints.aspx

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